List of Optum RX Customers
Eden Prairie, 55344, MN,
United States
Since 2010, our global team of researchers has been studying Optum RX customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Optum RX for Pharmacy Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Optum RX for Pharmacy Management include: Point32Health, a United States based Insurance organisation with 4000 employees and revenues of $9.40 billion, Carepartners Of Connecticut, a United States based Insurance organisation with 75 employees and revenues of $56.0 million, Ultimate Health, a United States based Insurance organisation with 50 employees and revenues of $10.0 million, New Jersey Division of Gaming Enforcement, a United States based Government organisation with 200 employees and revenues of $1.0 million and many others.
Contact us if you need a completed and verified list of companies using Optum RX, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Optum RX customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Carepartners Of Connecticut | Insurance | 75 | $56M | United States | Optum | Optum RX | Pharmacy Management | 2023 | n/a |
In 2023, Carepartners Of Connecticut transitioned its pharmacy benefit administration to Optum RX effective January 1, 2023. The deployment designated Optum RX as the primary Pharmacy Management application to support Carepartners Of Connecticut's Medicare and health plan pharmacy benefit administration.
The implementation focused on standard pharmacy benefit manager capabilities, including retail network access and integrated home delivery services delivered through Optum RX. Configuration work centered on benefit administration workflows that govern member eligibility, prescription routing to the retail network or home delivery, and processes to preserve continuity of active home delivery refills.
Operational coverage targeted Carepartners Of Connecticut's Medicare member population in the United States, with communications and conversion notices issued to members and brokers as part of the rollout. The program functionally aligned pharmacy benefit administration, PBM network access, and home delivery workflow orchestration under the Optum RX platform.
Governance and rollout activities emphasized member and broker notification and refill continuity controls, with the PBM conversion communicated as intended to improve member access to medications and continuity for existing home delivery refills. Optum RX was positioned to centralize Pharmacy Management for the plan, reducing fragmentation of retail and home delivery sourcing through a single PBM relationship.
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New Jersey Division of Gaming Enforcement | Government | 200 | $1M | United States | Optum | Optum RX | Pharmacy Management | 2018 | n/a |
In 2018, the New Jersey Division of Gaming Enforcement adopted Optum RX as part of the statewide New Jersey State Health Benefits Program PBM contract to administer prescription drug benefits for state employees and school employees. The implementation was effective January 1, 2018 and placed Optum RX into the Pharmacy Management layer supporting integrated retail, 90 day retail, specialty and mail order pharmacy services, reflecting an HR and employee benefits implementation across participating agencies.
Optum RX was configured to deliver core Pharmacy Management capabilities typical of a PBM, including claims adjudication, formulary management, specialty pharmacy oversight, mail order fulfillment and 90 day supply program administration. The deployment incorporated utilization management workflows and prior authorization processing to standardize benefit controls and enforce plan rules across covered members.
The procurement and award of the Optum RX contract were publicly litigated during the award process, and award documentation cited projected savings estimated at multi hundred million to $1.6B over the three year contract term. Operational scope covered statewide plan members under the State Health Benefits Program, centralizing PBM administration within HR benefits operations for state and school employee populations and standardizing pharmacy benefit governance across agencies.
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Point32Health | Insurance | 4000 | $9.4B | United States | Optum | Optum RX | Pharmacy Management | 2021 | n/a |
In 2021, Point32Health contracted Optum Rx for Pharmacy Management. The agreement went into effect on January 1, 2023, providing integrated pharmacy benefit management for Point32Health members across retail, specialty and home delivery pharmacy services in the United States.
Optum Rx was implemented to manage core Pharmacy Management functions including retail pharmacy network administration, specialty pharmacy workflows and home delivery fulfillment, alongside benefits administration capabilities consistent with a benefits and pharmacy implementation. The deployment reflects category-standard operational workflows such as formulary stewardship, claims adjudication workflows and member pharmacy benefit administration to support payer-side pharmacy operations.
Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan, and the contract scope covers membership across those entities. The three-year contract was reported by the parties to target aggregate pharmacy savings of roughly 12–16 percent over the contract term. Operational governance is organized at the payer level to align benefit design and pharmacy operations across the combined membership base.
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Insurance | 50 | $10M | United States | Optum | Optum RX | Pharmacy Management | 2017 | n/a |
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